The required entries are as follows:
         
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                     The correct worker's name must be shown in Item 2 on form AUS187. 
 
 
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                     An entry must be shown in columns 1 and 2 for each period in which there is an entry
                        in the “years/months” column in Item 3.
                      
 
 
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                     A “years/months” entry must be shown for each period entered in columns 1 and 2and
                        the number of years and months must be equal to or less than the number of months
                        and years in the corresponding first two columns.
                      
 
 
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                     The form AUS187 must be properly certified, including the signature and official stamp
                        in Item 6.
                      
 
 
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                     If any of the required information is missing, route the case to DIO for evaluation.